Efficient and effective patient care requires networking beyond the sectoral boundaries, both outpatient and inpatient. Through the creation of regional networks of GP surgeries, care centres, specialists, clinics and nursing, multifunctional system structures of the health care system for specialist-led decision-making emerge. In addition, tasks in prevention and follow-up of defined diagnoses and in particular multimorbid patients can be performed.
A lack of coordination between outpatient, inpatient and social care makes comprehensive care concepts difficult. Therefore, the establishment of regional coordination centres is highly recommended. In particular, future rural care can only work if it is better organised and crosses sectoral boundaries. In addition to the already existing subsidiary opening of hospitals’ outpatient clinics through the connection of MVZ and portal practices, the realisation of a coordinative institution creates the possibility of networking existing care structures and of organising necessary interactions. Thus, existing facilities such as rescue centres and / or KV emergency service centres are by no means to be replaced.